TITLE 50: INSURANCE CHAPTER I: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION SUBCHAPTER kkk : HEALTH CARE SERVICE PLANS PART 5420 MANAGED CARE REFORM & PATIENT RIGHTS The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. Section 5420.10 Purpose Section 5420.20 Applicability and Scope Section 5420.30 Definitions Section 5420.40 Provision of Information Section 5420.50 Notice of Nonrenewal or Termination Section 5420.60 Transition of Services Section 5420.70 Health Care Services, Appeals, Complaints and External Independent Reviews Section 5420.80 Joint Resolution of Complaints – Department of Insurance and Department of Public Health – Notification and Resolution Process Section 5420.90 Record of Complaints Section 5420.100 Access and Quality of Care from Providers Without Primary Care Physician Referral or Authorization Section 5420.110 Emergency Services Section 5420.120 Post Stabilization Services Section 5420.130 Registration of Utilization Review Organizations Section 5420.140 Operational Requirements Section 5420.EXHIBIT A Description of Coverage – Cover Page Section 5420.EXHIBIT B Description of Coverage - Worksheet Section 5420.EXHIBIT C Complaint Record and Column Descriptions Section 5420.EXHIBIT D Application for Registration of a Utilization Review Organization Section 5420.EXHIBIT E Utilization Review Organization Officers and Directors Biographical Affidavit

AUTHORITY: Implementing the Managed Care Reform and Patient Rights Act [215 ILCS 134] and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5/401].

SOURCE: Emergency rules adopted at 23 Ill. Reg. 12466, effective September 27, 1999, for a maximum of 150 days; adopted at 24 Ill. Reg. 3374, effective February 10, 2000; amended at 24 Ill. Reg. 9429, effective July 1, 2000; amended at 28 Ill. Reg. 13711, effective September 28, 2004; amended at 30 Ill. Reg. 6368, effective March 29, 2006.